NR509 FINAL EXAM, NR 509 PRACTICE EXAM, ADVANCED PHYSICAL ASSESSMENT, NR509 QUESTIONS AND ANSWERS, CHAMBERLAIN NR509, NURSING EXAM PREP, CLINICAL ASSESSMENT TEST

NR509 FINAL EXAM, NR 509 PRACTICE EXAM, ADVANCED PHYSICAL ASSESSMENT, NR509 QUESTIONS AND ANSWERS, CHAMBERLAIN NR509, NURSING EXAM PREP, CLINICAL ASSESSMENT TEST
Question: An overweight 26-year-old public servant presents
to the Emergency Department with 12 hours of intense
abdominal pain, light-headedness, and a fainting episode that
finally prompted her to seek medical attention. She has a
strong family history of gallstones and is concerned about
this possibility. She has not had any vomiting or diarrhea.
She had a normal bowel movement this morning. Her βhuman chorionic gonadotropin (β-hCG) is positive at triage.
She reports that her last period was 10 weeks ago. Her vital
signs at triage are pulse, 118; blood pressure, 86/68;
respiratory rate, 20/min; oxygen saturation, 99%; and
temperature, 37.3ºC orally. The clinician performs an
abdominal exam prior to her pelvic exam and, on palpation
of her abdomen, finds involuntary rigidity and rebound
tenderness. What is the most likely diagnosis?
a. Ruptured tubal (or ectopic) pregnancy
b. Acute cholecystitis
c. Ruptured appendix
d. Perforated bowel wall
e. Ruptured ovarian cyst
Correct answer: a. Ruptured tubal (or ectopic) pregnancy

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